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NPI Code Detail

MEDICARE: DR. FRANK D. GONZALES MD

MEDICARE: DR. FRANK D. GONZALES MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12083P0500XPreventive Medicine/Occupational Environmental Medicine PhysicianG48455CA

General Provider Information

NPI Number : 1205110996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. FRANK D. GONZALES MD
Provider Business Mailing Address
First Line : 301 E COOK ST STE C
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-5133
Country : US
Telephone Number : 805-345-3030
Fax Number : 805-345-3033
Provider Business Practice Location Address
First Line : 301 E COOK ST STE C
Second Line :
City : SANTA MARIA
State : CA
Zip : 93454-5133
Country : US
Telephone Number : 805-345-3030
Fax Number : 805-345-3033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2011
Last Update Date : 09/29/2011

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